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September 29, 1945


JAMA. 1945;129(5):344-347. doi:10.1001/jama.1945.92860390001009a

Vesical schistosomaiasis has been exceedingly rare in this country and seen exclusively among patients of foreign extraction or natives who have been traveling or residing abroad. There is no endemic focus of vesical schistosomiasis on the North American continent. In the North Central states and neighboring regions of southern Canada there is an endemic focus of schistosome dermatitis or "swimmers' itch," 1 but this parasite appears incapable of maturing in man. Large numbers of our armed forces have been engaged in actual combat in North Africa, fighting in fields and through streams where Schistosoma hematobium is endemic. With the return of these men we may expect that some will be infected. If the infection is light, symptoms may not appear for a matter of years, and so it is quite probable that men infected abroad may not have symptoms until some time after their return to civilian life. Therefore I feel